摘要
目的对初诊2型消渴病病人发病特点及中医临床辨证分型进行分析,探讨初诊2型糖尿病病人生活饮食习惯、家族史等因素与患病及辨证分型间的关联性。方法对2014年9月19日—2015年7月20日于辽宁中医药大学第一附属医院内分泌科入院的122例初次诊断消渴病(2型糖尿病)患者进行资料登记,记录其临床发病特点、饮食运动习惯、家族史、疾病发现方式等,并对资料进行统计分析。结果 122例患者中消渴病证型依次为气阴两虚或兼血瘀53例(43.4%)、湿热困脾或兼血瘀30例(24.6%)、无症状25例(20.5%)、阴虚燥热8例(6.5%)、阴阳两虚或兼血瘀6例(4.9%)。研究对象中87例(71.4%)偶然发现糖尿病,35例(28.7%)因怀疑患糖尿病而就诊。68例(55.7%)有糖尿病家族史,85例(69.7%)体重超重或肥胖,88例(72.1%)平素嗜食肥甘厚味,79例(64.8%)平日不参加运动锻炼,这些因素与中医分型中的湿热困脾或兼血瘀证型密切相关(P<0.05)。结论糖尿病发病与年龄、家族史、嗜食肥甘厚味、少动、超重或肥胖等因素密切相关,初诊糖尿病患者中有部分人临床症状不明显,甚至没有任何临床表现,可能会延误诊断和治疗。因此定期进行糖尿病筛查,早期诊断和治疗显得尤为重要。
Objective To Analyze both of the clinical characteristics and the syndrome types of the newly diagnosed patients with type 2 diabetes,to discuss the life diet,family history,some other factors and the correlation between these factors and the syndrome types of the traditional Chinese medicine of type 2 diabetes patients. Methods To register for the information of the patients with type 2 diabetes that were initial diagnosed,hospitalized from July 19,2014 to September 20,2015 in Department of Endocrinology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,their clinical characteristics,diet,exercise habits,family history,disease found way,related complications and some physical and chemical test results were recorded,and the data were statistically analyzed. Results Collateral syndrome types in the order were type of qi and yin deficiency or whether with blood stasis was 53 patients（ 43. 4%）,damp and hot trapped spleen syndrome or whether with blood stasis was25 patients（ 20. 5%）,and the number of asymptomatic patients were 25 cases（ 20. 5%）,8（ 6. 5%） patients were yin scorching syndrome,6（ 4.9%） patients were deficiency of both yin and yang or whether with blood stasis. In the object of study,87（ 71. 4%） people found diabetes by accident,there were 35（ 28. 7%） people found diabetes on suspicion. 68（ 55. 7%） people had family history of diabetes,85（ 69. 7%） people being overweight or obese,88（ 72. 1%） people usually like to eat greasy food,79（ 64. 8%） people who don＇t like to take part in exercise. And these factors are closely associated with damp and hot trapped spleen syndrome or whether with blood stasis（ P〈0. 05）. Conclusion Diabetes incidence is closely related to the factors such as age,family history,mind greasy food,less dynamic or being overweight or obese. So regular screening for diabetes,it is particularly important to early diagnosis and treatment.
出处
《光明中医》
2016年第16期2312-2314,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
2型糖尿病
消渴病
中医辨证分型
Type 2 diabetes
Consumptive Thirst Disease
TCM syndrome differentiation typing
